Provider Demographics
NPI:1528347325
Name:ELLIOTT, POSIE P
Entity type:Individual
Prefix:MS
First Name:POSIE
Middle Name:P
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 ORANGE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-6710
Mailing Address - Country:US
Mailing Address - Phone:386-341-0550
Mailing Address - Fax:
Practice Address - Street 1:847 ORANGE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-6710
Practice Address - Country:US
Practice Address - Phone:386-341-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator